Friday, July 25, 2014

The Bukaigo team is up and running. We have gotten the hang
of everyday activities and are learning more about the village each day. We
participated in the HIV testing day and drama, gave a successful water and
sanitation sensitization, and have a good start on our follow up surveys. Going
house to house inspecting latrines, wash rooms, plate stands and tippy taps has
provided an intimate peek into life in the village.

Below are short interviews of each of us, because we each
have a different challenge and a funny story to share.

Amy and Dean:

Amy: Why did you come to Uganda?

Dean: To experience global
public health work.

Amy: What has been the most shocking thing?

Dean: How difficult washing
clothes by hand is.

Amy: Is this the first time you’ve had to do laundry by
hand?

Dean: Yes

Amy: Tell me the story of the first time you tried. Actually,
I’ll tell it:

He put all his cotton clothes
and terry cloth towel into a basin and poured some water on them. The clothes
absorbed so much water that he ran out and had to fetch [water] before he could finish
his laundry. He is also lying in a filthy bed right now because laundering
sheets seems overwhelming.

Amy: Tell me another funny story.

Dean: Sometimes to tease their
little siblings, the Ugandan children will shove their younger siblings towards
me and the little ones start wailing.

Amy: Why?

Dean: Because they’re terrified
of me.

(Frank: There’s something in
your face that scares kids.)

Amy: What’s the most fun you’ve had so far?

Dean: Seeing Frank pout after losing at cards every
night.

Amy: Frank, why do you always loose?

Frank: Because you all are
against me!!

All: NOOO

Dean working on the plate stand

Amy and Frank:

Amy: Have you ever been to the village before?

Frank: Yes, but not like this
one. This one is way bad off.

Amy: Do you find it shocking?

Frank: Yes! The way people open
defecate, don’t wash their hands. They don’t even mind not washing their hands.

Amy: How does it make you feel about your country?

Frank: Ashamed. Too much
corruption.

Amy: Do you think you can ever help?

Frank: Yes, we can never lose
hope. We can keep on dreaming.

Amy: When you go home, will it change your studies?

Frank: Yeah, I didn’t know that
open defecation was still going on in Uganda.

Amy: Are there other practices that surprise you.

Frank: Maybe, the health status
is so poor. Safe water access is still so low.

Amy: Are you glad you’re here.

Frank: Yup. I’ve met crazy
people like Dean.

Amy: Tell me a funny story.

Frank: Oohh man, about what?

Amy: Anything, your time here?

Amy: What about when I decided to try to carry all the
babies of Bukaigo

Frank: Haaha, yeah, it was so
funny. The babies are so comfortable with you, but so scared of Dean.

Also, I went rafting with the
internationals. After paying 90 USD, I was almost drowning the whole time. I
swallowed about 2 liters of water and the young American girls had to pull me
into the raft. It was so humiliating.

Amy: Oooh, sorry.

Frank working on the plate stand

Amy and Josie:

Amy: This is your second year as an intern.

Josie: Umhm

Amy: Why did you want to come back?

Josie: Because I am interested
in public health. I love meeting new people. I love working with
internationals.

Amy: What is the most challenging thing about working
with internationals?

Josie: It’s
hard to know what to do, since you are dealing with someone from a different
world.

Amy: Example?

Josie:
Yeah, sometimes you want to help, but from past experience, people don’t want
to be treated like babies. Sometimes you want to do it for them, but they don’t
want to be babied.

Amy: I think we all appreciate that.

Josie:
No, sometimes I think I’m over doing it and all that.

Amy: What have you learned most about public health?

Josie: You can create change if
you talk to people. Because sometimes people know something is supposed to be
done but they don’t know why, so you show them how to do it.

Amy: You feel like you are making a difference?

Josie: Yeah

Amy: Would you come back in the future for something like
UVP?

Josie:
Yeah, of course.

Amy: What is a new skill you’ve developed since being
here?

Josie: Tying jerry cans using a
rope, because last time the bore hole was close by so we didn’t need a bike.

Amy: Have you learned how to bike with the jerry cans?

Josie: AHH still trying. Oh my,
that may take the two months. (Josie is
very short, and although her feet barely reach the pedals she’s pretty good at
biking)

Amy: Tell me a funny story.

Josie: When I’m passing along
the road along to the borehole on the main road, the kids say “there’s that
Busoga” as if they aren’t Busoga. They call you M’zungu and me Busoga. (M’zungu is the name for white people and
Busoga is the name for people from this region)

Amy: What is it like when you walk with us and everyone
is staring and yelling “M’zungu! M’zungu!”?

Josie:
Like a little celebrity. We can never get lost.

Amy: What do you think the next couple of weeks are going
to be like?

Josie: I think it’s going to be
fun. More sensitizations. We shall see the change from the end of the
internship and the report the VHTs (village
health team) give. I also think I shall be able to bike with the water.

Josie in front of the UVP office in Iganga

Dean and Amy

Dean: What has been the most alarming change in lifestyle
since you have been here in Uganda?

Amy: Probably being fed by a
cook three times a day. For some reason,
I seem to notice someone cooking me food a lot more than not having running
water.

Dean: What’s the funniest moment since you have been
here?

Amy: There have been a lot of funny moments at the
bore hole. When we try to load the
jerry cans onto the bicycles and the bikes fall over, or someone falls off of
the bike. There was also the time when
Ai and I were pumping water in the pouring rain and all of the kids were hiding
and watching us. When we were walking
home, people kept inviting us in because we looked so ridiculous walking in the
rain.

Dean: What has been your favorite moment?

Amy: When the two women came up
to you and me on the main road at 7 at night and said “hold my baby” just so
they could see a white person carrying it.
I also really like seeing the old woman who always comes and greets us.

Dean: What’s the best food that you have tried?

Amy: The vegetable curry me and
you had at Soul Café in Iganga town. We
had been here a week and a half and hadn’t gotten used to this food yet. The
curry was served with chapati and was so good.
Ruth (our cook) makes really
good spaghetti and potatoes. The eggs
and pineapple are really good too, and the mangos.

Dean: Anything else?

Amy: I really like our team. The other teams seem to have a lot more
energy, but it would be overwhelming to be with them all the time. We get along well.

Dean: What are
your favorite reactions from Frank and Josie?

Amy: I have a few.
From Frank, “OHHHH Man.” They
both say “You sure?” or “Are you sure?” when they are surprised. You can’t really get the tone in the
interview though.

Dean: Well just picture Frank
giggling uneasily when he says ohhh man because usually he is losing at cards
or in an awkward situation.

Amy masters three full jerry-cans on a bike

Ai and Amy

Amy: Now that you’re here, what has been the most
challenging part of the internship?

Ai: Getting used to Africa time.

Amy: What is that?

Ai: It means that we schedule
things for 2pm and people show up at 3:30 or 4.

Amy: What do you do while you’re waiting?

Ai: Talk, mobilize, look at the
surrounding animals, say “Hi” to all the people who go by.

Amy: What’s a new skill that you’ve developed since being
here?

Ai: I’ve learned very little Lusoga.

Amy: So what’s the biggest challenge to learning it?

Ai: We rely on Josie and Frank a
lot. And the locals don’t understand much English, so it’s hard to communicate
with them.

Amy: In the next couple of weeks do you think you’ll
learn more?

Ai: I
hope to.

Amy: So what is a skill that you’ve picked up, or
improved upon?

Ai: I
know how to smoke a latrine. And it’s my favorite chore.

Amy: Tell me a funny story.

Ai: I fell off the bike at the
bore hole - twice! The people at the bore hole thought it was pretty funny. And
the bike also fell on me… with jerry cans… on my foot! I have the scar to prove
it happened.

Amy: I also remember there being a bunch of children
around?

Ai: There
are always a bunch of children around.

Amy: Any other funny story you want to share?

Frank:
Yeah, she failed to pee in the hole in the latrine.

Ai: Yeaaahh,
I have very poor latrine technique. But it’s getting better.

Amy: Is this experience going to influence your future
career or travel choices?

Ai: I’m pursuing a certificate
in international development. I’d like to work for a global nonprofit. This is
experience in the field, and this is my first experience with data collection,
so I’m excited about that.

Thursday, July 24, 2014

Since our first blog post, our team has settled into village life, and we have been hard at work here in Buvule! We began our second week in the village by holding our third introductory meeting where we met with the local people to tell them about the programs we offer, as well as hear their concerns about the health of Buvule. After the meeting, we began conducting house-to-house surveys in order to evaluate if certain UVP programs have been effective at improving household sanitation and mosquito net usage. In addition to gathering quantitative data during the surveys, we have also been assessing people’s knowledge about malaria prevention, detection, and treatment. People have warmly welcomed us into their homes, and these surveys have provided us with a platform from which we have been able to educate the locals. So far, we have surveyed 160 households, and are soon approaching our goal of reaching 200 households in our village!

In addition to surveys, we held hand-washing sensitizations at two of the primary schools in Buvule. These sessions were a blast and were filled with games, skits, and the ever-famous hand washing song! We also held a family planning sensitization at the local health center where we taught over forty men and women about the importance of family planning, as well as the different methods they can use. The event included a drama, which featured lots of local children, and our very own Kyle Yoo playing a Ugandan mom. Kyle dressed in traditional Ugandan women’s clothing, and left the crowd doubled over in laughter. The sensitization was a huge success, and we were able to address many of the questions and misconceptions locals had about family planning.

Though we have been hard at work, we have also had lots of fun at home in Buvule, and in Jinja during the weekends. Every night we play with all of the children that live at our compound, teaching them new games and dances and showing them pictures of our loved ones back home. We have all fallen in love with the many animals that live on our compound. This week three goats were born, and we have thoroughly enjoyed toting them around the compound. During our two trips to Jinja we were able to visit Lake Victoria, and raft the Nile River! The summer is half way over, and we are looking forward to all the work and adventures we are going to have during the second half of the summer!

Friday, July 18, 2014

Welcome to team Buvule! We have had an adventurous first week in our village (fighting off bats, rats, and flies!) and are excited to share with you all a snapshot of what has been going down in Buvule town. After a formal introduction by our VHTs (Village Health Team) we are ready to jump into week two and start monitoring and evaluating the health progress of our village through surveys. Our gracious team member, Michele, has used her savvy video-making skills to bring our experience in Buvule to life. Enjoy!

Wednesday, July 16, 2014

The past two weeks have been a blur of
meetings, educations sessions, and activities for the WASH team. Our first
community-wide WASH sensitization saw a crowd of over 60 community members. As
the majority of our village residents are Muslim, we decided to have our
sensitization at the largest mosque in Namunkesu with an ideal location in the
center of the village and next to the community health center. After a heartfelt
speech from the Local Council 1 Chairperson, we proceeded to address the main
issues of water, sanitation and hygiene in the village: the spread of germs,
the safe water chain, and the components of a healthy home: a pit latrine,
kitchen, trash pit, washroom, plate stand, and tippy tap. We did our best to
use a combination of methods including posters, visual demonstrations, skits,
and storytelling to relay our message in a fun and engaging way. The skit,
which was written by one of our Ugandan team members, was a particular hit
among the attendees and drew giggles. As the sensitization went on, it was
evident that community members were knowledgeable about WASH issues and
understood the consequences of unhygienic practices. Lastly, we wrapped up the sensitization
with a raffle where one community member won a free tippy tap which would be
constructed by our team the following week.

A tippy tap is a device constructed from
local materials that simplifies and encourages handwashing at critical times
throughout the day. With a few stout pieces of wood, a small jerry can, nails,
and string, anyone can construct a tippy tap within a few hours. The winner of
our raffle provided her own wood and jerry can while we provided the string,
nails, and labor. With the help of Michael, a VHT, and a local neighbor, we
were able to construct a sturdy and aesthetically pleasing tippy tap which was
constructed next to the kitchen; our hope is that the placement of the tippy
tap will promote handwashing before cooking and eating food.

Here is a picture of the proud team, laborers, and the winner of the tippy tap.

The following week we began working in
our second village, Nawansega, about a 3 mile distance from our house in
Namunkesu. We met the VHT's of the village, nine extremely hardworking women,
who showed us around the community. The village is so large that it had
recently been split into two sides A and B, each with its own local council. To
complete the village tour in one day we had to split into two groups, each
paired with VHTs. One of our main priorities as WASH team was to observe where
community members drew their water and the condition of existing water sources.
we had a particularly interesting experience at one such water source which was
a large pond. When we approached the water source there were about 30 people
surrounding the pond performing a ritual. Those gathered around the pond
believed that the water source was inhabited by a demon who made the water
dirty and unfit for drinking. A local further explained to use that they were
burning herbs and preparing to sacrifice a chicken to please the demon and make
the water clean.

A woman drawing water from the filthy pond

Such instances show the challenges we
face as a WASH team and the misconceptions of contaminated water that can exist
in communities.

Based on what we discovered during the
Nawansega village tour, we organized a community-wide WASH sensitization which
was held the following week. Titus, a UVP employee, connected us to another
organization called H4HD (Hope for Health and Development) which also focuses
on WASH and specializes in building protected springs in Iganga. With the added
firepower of our partnership, we were able to successfully advertise our
sensitization to the entire community. Our partnership with H4HD is indicative
of the relationships which UVP seeks to foster with the local government,
community and other organizations to improve health efficiently and extend its
reach to other communities. The subsequent WASH sensitization in Nawansega
attracted 96 community members, all of whom were actively engaged throughout
the meeting.

Our WASH sensitization in Nawansega

We also held our first school
sensitization at Nabikoote Primary School. With a student population of 630,
our team of six was faced with the daunting task of spreading knowledge of hygiene
to the pupils while keeping order. We held this sensitization with high
priority since children are generally more receptive to new ideas and
susceptible to behavior change than adults. With grades 1-3, we sang songs
about washing hands and keeping the body clean with added motions to keep the
pupils entertained while using illustrative games and demonstrations with
grades 4-7 to instill knowledge of proper hygiene. Our hopes are that the
pupils of Nabikoote Primary School were able to digest the topics discussed and
take them back home to their parents, families, and friends.

Through the multiple health
sensitizations and interactions with the communities, we were able to see the
resiliency of residents and the desire to live healthier lives. It has been
particularly encouraging working with the Village Health Team members who are
extremely dedicated to the residents of the community and to the cause of
improved water, sanitation and hygiene. Challenges remain in Namunkesu and
Nawansega, especially lack of access to safe water. In the coming weeks, we
will be engaging in the more technical aspects of our work, conducting shallow
well needs assessments for communities that have applied for water sources. In
one zone of Namunkesu particularly, there is great need for water but the
community was unwilling to show commitment for the addition of a well, evident
by the low turn-out for their well application meeting. It is UVP policy that
communities applying for a well must show collective interest and the desire to
take ownership of the water source once it is constructed. This is to encourage
local ownership of the water source so that community members can sustain and
maintain their shallow well even after UVP has left the village.

We are excited for what the next couple of weeks will have in store for our villages and looking forward to
working with the community and local partners to ensure that everyone has the
opportunity to live healthy lives. WASH team, out.

The drastic change from superfluous American life has become
more apparent every day. Hardwood floors
and lush carpeting are replaced with slanted, hard concrete and woven plastic
mats that serve as both floor and furniture.
At night, playing cards replaces television as we all sit in a circle
under the light of one light bulb or two kerosene lamps when rolling black outs
take away the electricity. No longer is
water obtained with the twist of one’s wrist and the turning of a nozzle but
instead requires a bike ride and extensive pumping at a well to fill multiple 5
gallon jugs that serve for drinking, showering, cooking, and laundry. The hot steam from showers is now a view of
banana groves, cornfields, wandering families of chickens, and a 12 oz. cup
used as a shower nozzle. However, the
lush green expanse of Uganda and its friendly and welcoming people are an
all-encompassing experience of village life.

Meet Monitoring & Evaluation Team 1:

Ai

Franc

Dean

Amy

Meet our neighbors:

Ruth, our cook

Some of our new neighborhood kids

People at the borehole

Our intern supervisor, Laurel

Our home for the next two months:

Our two-bedroom house

Our kitchen

Our washroom

Our pit latrine

What do we do?

Play frisbee

Do laundry

Fetch Water

Play cards

Play a lot of cards (even when the lights go out)

Some of the animals we get to see:

Goats on our doorstep

Toads (called torts) that come out at night. One came into
our house after a heavy rain. After Ai found him chilling in a corner, Amy
kindly removed him from the house.

A chameleon in our front yard. He had a strange walk as you
can see from the photo. Maybe he was playing dead?

A
newborn calf. His umbilical cord was still attached

Baby chicks

Things we did during Week 1:

Had a meeting with members of the village health team

Toured our village

Get serenaded by some locals when we did our community
mapping

Mobilized for our community meeting

Get rained out while mapping the village and had to seek
shelter at a villager’s home

Monday, July 14, 2014

We, the UVP WASH (Water, Sanitation, and Hygiene) team, are a diverse group with a wide
range of backgrounds:

Jacqueline, from Uganda and of Busoga roots, is a team
leader and has recently finished her final exams for a BS in Environmental
Health Science from Makerere University.
Padraic, from Minnesota, is also a team leader. He is a working professional with his MS in
Biomedical Engineering from University of Wisconsin. Craig, from Kentucky, is currently an
undergraduate student studying Environmental Health Sciences from Baylor
University. Daphne, from Kampala,
Uganda, is an undergraduate student studying Public Health from International
Health Sciences University. Jenessa is a
graduate student pursuing her MA in Anthropology from the University of Memphis. And, Joshua, from the D.C. area, is a
graduate student pursuing his MA in Urban and Regional Planning from Virginia
Tech.

As a team, we'll be working in three villages in Iganga
District: Namunkesu, Nawansega, and Kinu.
Within these villages, our goal is to work with community members and
leaders to address issues related to clean water accessibility and proper
hygiene and sanitation. Our relationship
with the community will be one of collaboration, cooperation, and facilitation,
rather than one of authority. By the
time we leave, we hope to empower these communities with valuable education,
civic systems, and important networks so that in the future they will be able
to solve water challenges on their own.

To help us achieve these goals, we will be working with a
variety of partners. Such partners
include Patrick and Titus, UVP staff members, who specialize in water and
sanitation work, such as the construction of shallow wells. We will also work with each of the three
villages' Water and Sanitation Committees (WSCs). Each committee is in charge of maintaining an
individual water source within the community, be it a borehole, shallow well,
or protected spring. Additionally, we
will work with each village's Village Health Team (VHT) members. These community representatives are trained
to be the first point of contact for community members for health-related
issues. Furthermore, we will communicate
frequently with the District Water
Office, the government office in charge of providing the materials for
the construction and maintenance of all water projects. Lastly, and most importantly, we will work
with individual members of the community.

Our first week of work was very busy. We were led on a full
tour of Namunkesu by the VHTs. we attended a meeting with the District Water Office. We organized a meeting with Namunkesu's WSC members and VHTs. And, we held a
community-wide introductory meeting for us to formally meet community members.

The WASH team introducing themselves to the village of Namunkesu

Judging from the first week we've been here, it is clear we
will be able to achieve some very specific goals.

One of the primary concerns of community members, WSC
members, and VHTs in Namunkesu is a borehole which stopped working on Tuesday
of last week. Our goal is to connect
community members with the District Water Office to facilitate a timely repair. As a result of this broken borehole, other
water sources are experiencing increased strain (both mechanically and
characterized by longer lines). Getting
this fixed (and paid for by the community) would be a great accomplishment for
our group and the community at large.

An inoperable borehole. We're working with the community to raise funds for its repair.

We would also like to help facilitate the construction of a
new shallow well in the Budome neighborhood of Namunkesu. Currently, some community members fetch their
water from the swamp because the nearest clean water source is too far away to
easily access by walking. We have been
speaking to community members, WSC members, and VHTs both in meetings and
house-to-house visits about the application process for a new shallow well
through UVP. We will also begin a needs
assessment for a new well as soon as that application is signed.

One of Namunseku's water sources, a protected stream

Within each of the three villages, we also intend to hold
community-wide "sensitizations," or education sessions, on topics
related to water, sanitation, and hygiene.
Specifically, we'll organize events in which the entire community is
invited to attend, and we'll speak in detail about the "Safe Water
Chain" (the proper collection, transport, treatment, and storage of
water), the importance of personal hygiene to prevent the transmission of
disease, and the great benefits associated with using latrines for sanitation.

Jackie is speaking (and Padraic standing) at our community's meeting of Water & Sanitation Committees and Village Health Team members

By the end of the six weeks we will also organize a meeting
for all of the WSCs from all three villages.
In this multi-village meeting, the various WSCs will be able to share
their separate experiences, challenges, and successes, and hopefully work more
closely together in the future to address water challenges.

Overall, we are very optimistic about the positive impacts
that we can help create in the coming six weeks. If this first week is of any indication of
how busy we will be in the regard, then we will certainly have our hands full,
but we are ready for the challenge!

Tuesday, July 8, 2014

Learning how to live
in Kasambika 2 has certainly been an adventure! Our 3 bedroom house has become
a home for us. Pictures of friends and family decorate our colorful walls,
fresh fruits and vegetables line the edges of our cooking area and the newly constructed
tippy tap, trash pit and plate stand proudly represent our desire for greater
health and sanitation measures as UVP staff/interns. Each day we are greeted by
a group of kids who love playing with our cameras and often sit out on our
porch awaiting us to come out and spend time with them. Even when we attempt
early morning runs, we are always greeted by their enthusiastic “Jambos!” and
their affectionate shouting of the term ‘muzungu, muzungu’ as a way to get our
attention.

Besides kids, we are
also visited by a slew of animals. Village life can certainly have its
challenges, when there are bats and rats in the latrines, frogs jumping around
the house, and small snakes can be found meandering around. Thankfully, James,
Andrew and Chelsea are fearless when it comes to exterminating the rat in the
latrine, plucking frogs found near our beds, and killing the poisonous snake we
originally thought was a shoe lace. We are also accustomed to wearing headlamps
when the sun sets around 7pm, eating dinner by lantern light, and attempting to
avoid latrine use until the morning! Despite no running water or electricity as
we’re used to, we’re learning to be flexible in how we live (i.e., bucket
bathing during the day rather than shower at night).

KASAMBIKA 2 VILLAGE HEALTH TEAMS by Emily and Chelsea

When we arrived in the
village on Friday we were greeted by several Kasambika 2 VHTs. VHT stands for
Village Health Team, a group of six community members selected by the village
and trained by UVP according to a government curriculum. They serve as the
first point of contact for health needs in the village, distribute some
medications, and promote healthy living on the household level.

The UVP Kasambika 2 team with the Kasambika 2
VHT after a planning meeting

The VHT’s commitment
to a healthy community is already evident in what we’ve accomplished together
during our first week in the village. After an initial planning session
our teams coordinated a community meeting where we introduced ourselves and
discussed our plans for the summer. Later in the week we conducted a SWOT
analysis – an assessment of the Strengths of, Weaknesses of, Opportunities for,
and Threats to the health of the community. All members of the VHT are
committed to their mission and we are excited about working with them this
summer to achieve the shared goal of a healthy Kasambika 2.

FUTURE
STARS by James and Jiana

“Jambo”.

“Wasuze otya
nyabo/Sebo”.........Bulungi nyabo/sebo”........”Kaale”...... omg this is about
the only Lusoga we know perfectly. That's when you just smile and nod. This is
our typical greeting that we expect throughout the internship. Our greetings
and daily visitors have not only been amazing but allowed our team to feel
welcome and part of the community. They have showered us with signs of
appreciation such as kids climbing to reach the furthest of branches to
retrieve the best quality mangos from nearby trees and the chairperson of the
church purchasing an egg for us during an auction at the Kasambika 2 catholic
church where we hold community meetings.

Speaking of community
meetings, in preparation .....”Andrew, get out of the bathroom!!!, we don't
want to be late,” yells Chelsea. Once
the last person of the team is finally ready after running around in a towel, we
finally hit the road. After the community villagers trickled in, we began our
introductory meeting, kicked off in style with a series of leaders introductions
before we discussed our UVP purpose here in Kasambika 2. It was amazing how
much enthusiasm was bestowed upon the community members’ hearts to learn more
about how to address the public health issues that are affecting their
community. Their passion is fueling our team’s energy, vigor and commitment
towards empowering the community villagers in improving their quality of life.